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NPI Code Detail

MEDICARE: ELSAMADISI PSYCHIATRY LLC

MEDICARE: ELSAMADISI PSYCHIATRY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1891635439
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELSAMADISI PSYCHIATRY LLC
Provider Business Mailing Address
First Line : 1516 NJ-138 SUITE 2A
Second Line :
City : WALL TOWNSHIP
State : NJ
Zip : 07719
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1516 NJ-138 SUITE 2A
Second Line :
City : WALL TOWNSHIP
State : NJ
Zip : 07719
Country : US
Telephone Number : 646-824-3864
Fax Number :
Authorized Official
Title or Position : PSYCHIATRIST
Name : AMIR ELSAMADISI
Credential : MD
Telephone Number : 848-202-8644
Provider Enumeration Date : 04/01/2026
Last Update Date : 04/08/2026

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Directions to “ELSAMADISI PSYCHIATRY LLC ” Practice Location

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